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MICHAEL C. KIM PT
NPI 1669436986
Physical Therapist - Orthopedic in Lawrenceville, GA

Active since April 13, 2006
758 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045(678) 985-7190(678) 985-7158 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael C. Kim Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL C. KIM PT (NPI 1669436986) is an individual orthopedic provider in Lawrenceville, Georgia, licensed in Georgia (PT007802) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1669436986
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMICHAEL C. KIMCredential: PT
Location Address758 OLD NORCROSS RDLawrenceville, GA 30045-3385
Mailing Address758 Old Norcross RdLawrenceville, GA 30045-3385 · (678) 985-7190 · Fax (678) 985-7158
Phone(678) 985-7190
Fax(678) 985-7158
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateApril 8, 2008
✔ NPI 1669436986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · PT007802
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
758 OLD NORCROSS RD, Lawrenceville, GA 30045
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Other Identifiers 2

Medicare UPINQ30076GA
Medicare ID-Type Unspecified65BBCSMGA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK R. ICENOGLE AT-C
Specialist/Technologist (Athletic Trainer)
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
ALICE A. HULL PTA
Physical Therapy Assistant
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
NORTH ATLANTA ENDOCRINOLOGY AND DIABETES, PC
Specialist
758 OLD NORCROSS RD, SUITE 175
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 339-1387
TYHANNA D. ESHAM OT
Occupational Therapist
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
JON S. STEFFEY AT-C
Specialist/Technologist (Athletic Trainer)
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
MRS. COLLEEN YVONNE BUTLER MS,ATC, LAT
Specialist/Technologist (Athletic Trainer)
758 OLD NORCROSS RD, SUITE 110
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kim's NPI number?

The NPI number for Michael Kim is 1669436986. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Michael Kim located?

Michael Kim practices at 758 Old Norcross Rd, Lawrenceville, GA 30045. The listed phone number is (678) 985-7190.

What is Michael Kim's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Michael Kim was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.